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�r /lwireless ' <br /> Invoice Number Account Number Date Due Page <br /> 9750108860 542011183-00001 Past Due 2 of 14 <br /> Get Minutes Used <br /> #MIN+SEND Get Data Used <br /> #DATA+SEND Get Balance <br /> #BAL+SEND <br /> Explanation of Charges Payments <br /> Verizon Wireless'Surcharges <br /> Previous Balance <br /> � Verizon Wireless' Surcharges include (i) a Regulatory Charge <br /> - (which helps defray various government charges we pay including No Pa �•J�2 <br /> government number administration and license fees); (ii) a yment Received <br /> .00 <br /> Federal Universal Service ChargeTotal Pa <br /> ate <br /> Universal Service Charge)to recer charges proposed on ucable, a s by Payments <br /> ii--.....---. the government to support universal service; and (iii) an Balance Forward Due Immediately $ <br /> Administrative Charge, which helps defray certain expenses we .52 <br /> incur, including:charges we, or our agents, pay local telephone <br /> ..... companies for delivering calls from our customers to their <br /> 5mEnn_____. customers; fees and assessments on our network facilities and <br /> services; property taxes; and the costs we incur responding to <br /> regulatory obligations. Please note that these are Verizon <br /> Wireless charges,not taxes.These charges,and what's included, <br /> �.... are subject to change from time to time. <br /> �� Taxes,Governmental Surcharges and Fees <br /> Includes sales, excise and other taxes and governmental <br /> surcharges and fees that we are required by law to bill <br /> customers. These taxes, surcharges and fees may change from <br /> time to time without notice. <br /> Late Fee Information <br /> A late payment applies for unpaid balances.The charge is the <br /> greater of$5 or 1.5%per month,or as permitted by law. <br /> Verizon Wireless'Other Charges and Credits <br /> Includes charges for products and services,and credits owing. <br /> CT 06492 <br /> Correspondence Address:Verizon Wireless Attn:Correspondence Team PD Box 5029 Wallingford, <br /> Automatic Payment Enrollment for Account:542011189-00001 CITY OF EUGENE <br /> Bysigning below, <br /> ig 9 you authorize Verizon Wireless to electronically debit your bank account each month for the total balance due on your account.The <br /> setup Automatic Payment. You will be notified each <br /> agreement does not alter the terms of your existing Customer Agreement.I agree that Verizon Wireless is not liable for erroneous bill statements or incorrect debits to my account. <br /> month of the date and amount of the debit 10 days in advance of the a <br /> withdraw your authorization you must call Verizon Wireless.Check with your bank for any charges. Y check you send will be used to <br /> payment. I understand and accept these terms. This <br /> 1.Check this box. 2.Sign name in box below,as shown on the bill and date. <br /> To <br /> 3.Return this slip with your payment.Do not send a voided check. <br /> ■ E <br /> in IIIChan <br /> Changing your billing address for Account:542011189-00001 CITY OF EUGENE <br /> Use this space or sign into My Verizon at vzw.com/changeaddress to change the mailing address where we send your bill.If we do not have your most recent email address <br /> below and well use it to tell you important information about your Verizon Wireless service.Allow 2 billing cycles for the address change to take effect. <br /> New Address provide it <br /> City -- <br /> Confirming or changing your service address <br /> — -- For each of your mobile numbers,in order to bill taxes and <br /> State/Zip — --------- surcharges correctly we need a service address-which is a <br /> Work Phone primary <br /> ess <br /> ot a <br /> businessstreet <br /> address of thepersonwho uses that number.at is the home To <br /> ---___Home Phone confirm or change the service address for any of your mobile <br /> Email numbers,sign in to My Verizon at vzw.com/serviceaddress. <br /> 0013689 0120380-0000002 of 0000016 C22 RG 6404-13702 <br />